, scalp psoriasis is the worst! As mentioned, I do take methotrexate. I think by the time I started it, my scalp psoriasis wasn't too bad and I was more focused on how it was impacting my psoriatic arthritis, so unfortunately I can't recall whether it made much difference to my scalp. I still have scalp psoriasis but it's very manageable (knock on wood!). Have you been on the methotrexate for long? I know it can take a while to kick in. I hope others will chime in here. I'm curious to hear more experiences with methotrexate. Hoping you can find some relief, Diane 💖 -Catherine, Community Moderator